<p>Hospital Characteristics Associated with Certified EHR Adoption among US Psychiatric Hospitals</p>

Abstract

Objective: The aim of this study was to explore the relationship between hospital characteristics and certified electronic health record (EHR) adoption in psychiatric hospitals in the US. Methods: Data were drawn from the American Hospital Association Annual Survey Database and the Centers for Medicare and Medicaid Services Hospital Compare data sets in 2016. Binary logistic regression analysis and χ 2 tests were performed to examine the relationship between certified EHR adoption and hospital characteristics. Results: Of 1,059 psychiatric hospitals in the US, 502 (47.4%) have adopted certified EHR technology. Large hospitals (OR 2.29, 95% CI 1.52-3.44; p<0.001), not-for-profit hospitals (OR 1.74, 95% CI 1.22-2.49; p=0.008), and hospitals participating in a network (OR 1.78, 95% CI 1.34-2.37; p<0.001) were more likely to adopt certified EHRs. Hospitals in the northeast were less likely to implement certified EHRs compared to other regions. However, there was no significant association found between EHR utilization and system affiliation, urban location, teaching status, or participation of health-maintenance organizations and preferred provider organizations. Conclusion: The study results suggested variations in EHR adoption according to hospital location, size, ownership, and network participation. This study fills a gap in previous work on certified EHR adoption that focused exclusively on general hospitals, but overlooked psychiatric hospitals. Future policies designed to influence the implementation of certified EHRs should take into consideration how hospital size, ownership, and network-affiliation status affect certified EHR adoption among psychiatric hospitals.

“What’s the best way to document information concerning psychiatric patients? I just don’t know”—A qualitative study about recording psychiatric patients notes in the era of electronic health records

“…To our knowledge it is the first qualitative study examining the perceptions of Swiss mental health specialists concerning EHR and their attitudes toward documenting mental health care in electronic medical records. As electronic documentation of mental health care raises ethical challenges worldwide, our findings are also relevant for other countries where EHR are widely implemented, such as North American and many European countries, [ 19 , 20 ].…”

Taking the Pulse of Hospitals’ Response to the New Price Transparency Rule

“…Although the fraction of organizations failing to provide machine-readable data on standard charges was similar across hospital size, ownership, and system affiliation, nonprofit and system-member hospitals appear more responsive to the consumer-shoppable aspects of the rule. This may reflect greater adoption of commercially available, certified electronic health records among these two types of hospitals (Hu et al, 2020), as we found that consumer price comparison tools often were integrated with an electronic health record (e.g., provided through Epic’s MyChart functionality).…”

Basic electronic health record (EHR) adoption in **Türkiye is nearly complete but challenges persist

“…The study conducted by Adler-Milstein et al in the US between 2010 and 2015 found that 41.4% of all the hospitals operating throughout the country had basic EHR functions, 39.1% had comprehensive EHR functions, and 80.5% had at least one EHR function [ 39 ]. A study by Hu et al, which measured the stage of EHR adoption in psychiatric hospitals in the US in 2016, found the rate of hospitals with at least one EHR function to be 47.4% [ 27 ]. A similar study conducted by Liang et al in the US and China between 2007 and 2018 found the rate of hospitals with at least one EHR function to be 96% in the US and 85.3% in China [ 40 ].…”

“…It has been observed that 47.4% of psychiatric hospitals holding EHR certificates in the USA have adopted the EHR. A link has been established between the 95% adoption of large hospitals and their certification [ 27 ].…”